<!--
  ========================LICENSE_START=================================
  screenit-web
  %%
  Copyright (C) 2012 - 2020 Facilitaire Samenwerking Bevolkingsonderzoek
  %%
  This program is free software: you can redistribute it and/or modify
  it under the terms of the GNU Affero General Public License as published by
  the Free Software Foundation, either version 3 of the License, or
  (at your option) any later version.
  
  This program is distributed in the hope that it will be useful,
  but WITHOUT ANY WARRANTY; without even the implied warranty of
  MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
  GNU General Public License for more details.
  
  You should have received a copy of the GNU Affero General Public License
  along with this program.  If not, see <http://www.gnu.org/licenses/>.
  =========================LICENSE_END==================================
  -->
<html xmlns:wicket="http://wicket.apache.org">
<body>
<wicket:panel>
    <div class="modal hide fade in" id="modalOngeldigBericht"
         role="dialog" style="display: block;">
        <div class="modal-header">
            <button type="button" class="close" data-dismiss="modal">x</button>
            <h3>Verwerken ongeldige berichten</h3>
        </div>
        <div class="modal-body">
            <fieldset class="hero-unit">
                <div class="row-fluid">
                    <div class="span3">Datum ontvangst:</div>
                    <div class="span9">
                        <strong wicket:id="ontvangenCdaBericht.ontvangen">05-11-2012</strong>
                    </div>
                </div>
                <div class="row-fluid">
                    <div class="span3">Type:</div>
                    <div class="span9">
                        <strong wicket:id="ontvangenCdaBericht.berichtType">MDL-berichten</strong>
                    </div>
                </div>
                <div class="row-fluid">
                    <div class="span3">Reden ongeldigheid:</div>
                    <div class="span9">
							<span class="badge badge-warning" wicket:id="melding">Coloscopie-uitslag
								zonder lopende screening</span>
                    </div>
                </div>
            </fieldset>

            <fieldset>
                <div class="row-fluid">
                    <wicket:enclosure child="uitvoerendeOrganisatie.organisatieType">
                        <div class="span3">
                            <span wicket:id="uitvoerendeOrganisatie.organisatieType">Coloscopiecentrum</span>:
                        </div>
                        <div class="span3" wicket:id="uitvoerendeOrganisatie.naam">
                            <strong>Coloscopiecentrum 1 (A-202)</strong>
                        </div>
                    </wicket:enclosure>
                    <wicket:enclosure>
                        <div class="span3">Zorgverlener:</div>
                        <div class="span3" wicket:id="uitvoerder.naamVolledig">
                            <strong>Zorgverlener 3 (01-402-11)</strong>
                        </div>
                    </wicket:enclosure>
                </div>
                <div class="row-fluid">
                    <div class="span3">BSN burger:</div>
                    <div class="span3">
                        <strong wicket:id="bsn">0123456789</strong>
                    </div>
                    <div class="span3">Geboortedatum:</div>
                    <div class="span3">
                        <strong wicket:id="geboortedatum">06-06-1944</strong>
                    </div>
                </div>
            </fieldset>

            <fieldset>
                <div wicket:id="content"></div>
            </fieldset>
        </div>
        <div class="modal-footer">
            <button class="btn btn-danger pull-left" wicket:id="verwijderen">
                <i class="icon-minus-sign icon-white"></i> Verwijderen
            </button>
            <button class="btn btn-warning pull-left" wicket:id="opnieuwAanbieden">
                <i class="icon-refresh icon-white"></i> Bericht opnieuw aanbieden
            </button>
            <button class="btn btn-primary" data-dismiss="modal">Sluiten</button>
        </div>
    </div>
    <div wicket:id="confirmDialog"></div>
</wicket:panel>
</body>
</html>
